Individual
DR. ABRAHAM ATHIALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
79 N COUNTY ROAD 625 E, AVON, IN 46123-9724
(317) 272-6999
Mailing address
79 N COUNTY ROAD 625 E, AVON, IN 46123-9724
(317) 272-6999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000774A
IN
Other
Enumeration date
05/19/2007
Last updated
07/08/2007
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